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Membership Form
Form Number : 9000256862 Date : 13 Sep 2013
State : BIHAR District : VAISHALI
Name : Mr.Rahul Kuamr
Father's Name : Sanjay Sah
Age (in Years) : 21
Address : , IIT DELHI, HAUZ KHAS
Mobile Number : 9540083853
Email ID : rhlkumar815@gmail.com
Democracy is popular self rule, but the current practice of democracy negates this ideal and reduces the
citizens to mere subject. Aam Aadmi Party aims to restore power to the people, so as to realize the
promise of Swaraj enshrined in our constitution.
"I am a Citizen of India. I am above 18 years of age. I am not a member of any political party. I believe in
the objectives and thinking of the party and I am willing to fully participate in achieving the objectives of
the party."
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( 1H / Applicants Signature)
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q - Ground floor, A-119, Kaushambi, Ghaziabad, UP, 201010.
Submit this printout along with a postal order of Rs.10/- at the party office of your city OR send the
printout and postal order to our national office at - Ground floor, A-119, Kaushambi, Ghaziabad, UP,
201010.
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We have not authorized any individual to collect money on behalf of the Party. In case you send the form
through someone else, please do it through a trusted person only.
www.aamaadmiparty.org | 09718500606 | contact@aamaadmiparty.org
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www.aamaadmiparty.org | 09718500606 | contact@aamaadmiparty.org
www.facebook.com/AamAadmiParty | Twitter : @aamaadmiparty
Office of the Aam Aadmi Party,
Ground floor, A-119, Kaushambi, Ghaziabad, UP, 201010.